You Can Make A Difference!
Donate today to one of Great Wall’s Charity Missions: Angel Stitches, Gifts of Love or Libraries of Love.
Fill out the
Credit Card Authorization form
Make a Donation Online
For more information, please contact Kerry Campbell at 512-323-9595 ext 3040 or by email at
kerry@gwca.org
.
Your Information
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Full Name:
In Honor of:
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Address:
Your Phone Number:
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E-Mail Address:
Donation For:
Angel Stitches
Gifts of Love
Libraries of Love
Donation Amount:
$25.00
$50.00
$100.00
$200.00
$500.00
Other
If you selected other, please specify the amount below.
Other Amount: $
minimum donation of $25
Billing Information
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First Name as shown on your card
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Last Name as shown on your card
ATTENTION:
We only accept Visa & Mastercard at this time.
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Card Number:
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Expiration Date:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2019
2018
2017
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2012
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2009
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Credit Card Validation Number (CCV):
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Cardholder's Signature:
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Billing Street:
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Billing City:
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Billing State:
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Billing Zip Code:
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Billing Phone Number:
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denotes required field